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Michael J. Tchou<br />

Mutations in GJA5 may lead to atrial fibrillation<br />

Michael J. Tchou, Rob Wirka, Mina Chung, Dave Van Wagoner, Stela Berisha, Priya Malik, Brandon DuGar and Jonathan<br />

Smith Ph. D.<br />

Cell Biology Department<br />

Cleveland Clinic Lerner Research Institute<br />

Introduction: Atrial fibrillation (AF) affects 1 in every 25 people over the age <strong>of</strong> 60 in the United States. While a large<br />

proportion <strong>of</strong> AF is caused by structural changes, 30% <strong>of</strong> cases lack a structural cause (lone AF) and may have a genetic<br />

component to their etiology. Recent <strong>research</strong> has suggested that mutations in GJA5, the gene encoding the gap junction<br />

protein Connexin 40 may be implicated in the development <strong>of</strong> AF. A case-control comparison <strong>of</strong> single nucleotide<br />

polymorphisms <strong>of</strong> the GJA5 gene may reveal significant mutations.<br />

Methods:<br />

Blood derived or atrial tissue derived DNA was prepared from a cohort <strong>of</strong> 200 lone AF subjects. For the detection <strong>of</strong> rare<br />

variants in the GJA5 gene, the three exons and flanking sequences were amplified and sequenced. For the detection <strong>of</strong><br />

common single nucleotide polymorphisms (SNPs) in the GJA5 gene, the DNA was subjected to an Illumina SNP<br />

microarray and/or assay <strong>of</strong> single SNPs by the TaqMan procedure. GJA5 transcript levels were determined from atrial RNA<br />

using an Illumina gene expression microarray.<br />

Results:<br />

Two novel heterozygous mutations were identified among 24 lone AF samples through DNA sequence analysis. In<br />

addition a common 25 bp insertion-deletion variation in the 3‖ UTR that was discovered in a related project was verified<br />

in these tissues and was associated with the level <strong>of</strong> the GJA5 transcript in atrial tissue. Experience was gained in<br />

laboratory procedures including DNA extraction and preparation, gel electrophoresis, PCR, primer design, sequencing,<br />

sequence analysis, and microarray analysis.<br />

Conclusions:<br />

Early results indicate that variations in the GJA5 gene appear to be related to GJA5 expression levels and incidence <strong>of</strong><br />

AF. Ongoing sample analysis will allow a more definitive association <strong>of</strong> GJA5 genetic variation and AF.<br />

Supported by T-35<br />

81

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